Carrie Anderson, DVM
Individual provider Active NPI Emergency Medicine Physician · Salt Lake City, UT
NPI 1003321837 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1003321837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 9317686-2801 (UT)
- Practice address
- 1021 E 3300 S
Salt Lake City, UT 84106-2142 - Phone
- (801) 942-3951
- Fax
- (801) 942-3951
- NPI assigned
- Dec 1, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9317686-2801 | UT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Veterinary Care, Inc. | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9317686-2801 | UT | Yes |
Addresses
Primary practice location
1021 E 3300 S
Salt Lake City, UT 84106-2142
Mailing address
1021 E 3300 S
Salt Lake City, UT 84106-2142
Phone (801) 942-3951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9317686-2801 | Other | UT | VETERINARIAN |
Other providers in Salt Lake City, UT
- Briawna Aika Anderson
- Brydon Anderson
- Brynley Anderson
- Bryson Wells Anderson
- Cami Kuipers Anderson
- Carrie Ann Anderson
- Chelsey L Anderson
- Chloe Anderson
- Chris Anderson
- Ciara Anderson
All providers in Salt Lake City, UT · Emergency Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.